New Summary: Proposals Affecting Medicaid and CHIP Beneficiaries

APTA
provides a comprehensive summary of a recently proposed rule that has
significant importance to the new Medicaid expansion population who must be offered
essential health benefits beginning in 2014. In the proposed rule, the Centers
for Medicare and Medicaid Services recommends that states define the
habilitative services category under Medicaid and requests comments on whether
the habilitative services should be offered in parity with rehabilitative
benefits, as contemplated in previously released guidance to states on
essential health benefits. In addition, the summary outlines proposals related
to eligibility and enrollment, cost sharing, and eligibility appeals.